Ese hari igihe ujya ugira ububabare bukomeye mu maguru yawe, cyane cyane mu bibero byawe no mu mabere yawe, iyo ugenda? Ese ugomba guhagarara kubera ubu bubabare iyo ugenda intera ndende? Cyangwa se ndetse n'ibikomere bito ku maguru yawe bifata igihe kirekire kugira ngo bikire, ese amaguru yawe yumva akonje iyo uyakozeho, kandi akagira impinduka mu ibara? Impamvu nyamukuru y'ibi bintu ishobora kuba kuziba kw'imitsi y'amaraso (imitsi) ijyana amaraso ku maguru yawe. Rero, iyo iki kibazo kibaye gikomeye, bumwe mu buryo bw'ingenzi kandi bwiza abaganga bagusaba ni ukubagwa hakoreshejwe icyuma. Reka tubiganireho uyu munsi.
Kubaga imitsi yo mu mitsi ni iki?
Ibi biroroshye cyane. Tekereza ko umuhanda munini mu mujyi ufunze burundu kugira ngo ukomeze gusanwa. Hanyuma imodoka ntizishobora kunyuramo, sibyo? None se abayobozi bakora iki? Banyura muri uwo muhanda maze bakubaka umuhanda mushya wo ku ruhande, umuhanda unyura ku ruhande, kugira ngo imodoka zigere aho zijya.
Ibi nibyo bibaho mu mibiri yacu mu gihe cyo kubagwa. Iyo umutsi munini ujyana amaraso ku kaguru wawe ufunzwe cyane n'ibintu nka cholesterol ku buryo ubuza burundu gutembera kw'amaraso, umuganga ubaga ashyiraho inzira nshya amaraso atemberamo akikije umutsi wafunzwe.
'Graft' ikoreshwa mu gukora iyi nzira nshya. Iyi graft ishobora kuba umutsi uva mu kindi gice cy'umubiri wawe (akenshi uva mu kaguru kawe). Cyangwa ishobora kuba ibikoresho byakozwe mu buryo bwihariye. Intego nyamukuru y'ubu buvuzi ni ukugarura amaraso meza mu kaguru kawe, gukomeza umubiri kubaho, no kukurinda ibyago bikomeye byo gucibwamo ibice mu gihe kizaza.
Ni nde ukeneye ubu buvuzi?
Ubu buryo bwo kubaga busanzwe bukenewe ku bantu bafite imitsi ifunganye cyane mu mitsi itanga amaraso ku maguru. Iyi ndwara izwi mu buvuzi nka ``Indwara y'imitsi yo mu miyoboro y'amaraso ... maguru iragabanuka cyane ku buryo ingingo z'amaguru zitangira gupfa. Ibi byitwa ``Ismaemia y'amaguru ikomeye``.
Mu magambo make, iyo hatabayeho amaraso ku kaguru, ukuguru ubwako kuba mu kaga. Ubu buryo bwo kubaga hakoreshejwe inzira y'uburinzi akenshi bukoreshwa mu kurokora amaguru y'abarwayi bari mu bihe bikomeye nk'ibi.
Ni ubuhe bwoko bw'ingenzi bw'ubuvuzi bwo mu bwoko bwa bypass?
Hari ubwoko butandukanye bw'ubu bwoko bw'ubu buvuzi. Bwitwa hakurikijwe umutsi w'amaraso aho inzira itangirira n'umutsi unyuramo amaraso. Ushobora kubisobanukirwa neza uhereye ku mbonerahamwe iri hepfo.
| Izina ry'aho bakorewe (Ubwoko bw'inzira yo kwambukiranya) | Ibirimo kuba ni ibintu byoroshye |
|---|---|
| Kunyura mu miyoboro y'amaraso mu buryo bwa Aortobifemoral | Uhereye ku mutsi munini w’amaraso (Aorta) mu nda, ucikamo kabiri nk’aho uhindukiye hasi 'Y' hanyuma ugahuza n’imitsi mikuru (imitsi y’abagore) iri mu bibero by’amaguru yombi. |
| Uburyo bwo kunyuramo hagati y’abagore n’abagabo | Ihera ku mutsi wo mu kibuno ugana ku mutsi wo mu kibuno uri hejuru cyangwa munsi y'ivi. |
| Kunyura mu gice cy'imbere cy'umugore n'igituza | Ihera ku mutsi wo mu kibuno ugana ku mitsi yo mu kibuno iri munsi y'ivi. |
Ibizamini mbere yo kubagwa
Yego rwose. Muganga wawe azakora ibizamini byinshi mbere yo gutegura kubagwa kwawe. Iby'ingenzi ni ibi bikurikira:
- Igipimo cy'umuvuduko w'amaraso mu kuboko no ku kaguru: Iki gipimo cy'umuvuduko w'amaraso mu kuboko no ku kaguru, kikagereranya ibyo byombi. Ibi bishobora kuguha ishusho y'uburyo amaraso agera ku maguru yagabanutse.
- Ultrasound y'imitsi (Doppler Scan): Iyi ni scan idasaba ububabare ishobora kureba neza uburyo amaraso atembera mu mitsi n'aho yazibye.
Byongeye kandi, kubera ko abantu benshi bafite ibibazo by'imitsi y'amaguru bashobora kugira ibibazo mu mitsi y'umutima wabo, abaganga bazasuzuma ubuzima bw'umutima wawe mbere yo kubagwa. Ibi ni ingenzi cyane ku mutekano wawe.
Uburyo kubagwa bikorwa n'ingaruka zishobora kubaho
Kubagwa bibera mu cyumba cyo kubaga mu bitaro. Ubwa mbere, uhabwa ikinya rusange (anesthesia). Bityo ntuzumva ikintu icyo ari cyo cyose mu gihe cyo kubagwa. Hanyuma, umuganga ubaga akora icyuho (incisions) mu ruhu kugira ngo agere ku mitsi ikenewe. Hanyuma, hafatwa inshinge ikwiye, inyura mu mitsi yazibye, hanyuma hagakorwa inzira nshya ikoresheje imidozi mito cyane. Ubu buryo bwo kubaga bushobora gufata hagati y'amasaha abiri n'atandatu.
Kimwe no kubagwa kose, hari ingaruka zimwe na zimwe ziterwa n’indwara, cyane cyane ku bantu bafite indwara zimwe na zimwe nka diyabete, indwara z’umutima, cyangwa indwara z’impyiko.
| Ingaruka/ingorane zishobora kubaho |
|---|
| Kunanirwa kwa graft ya Bypass - Ibi bivuze ko amaraso atembera muri graft yagabanutse cyangwa yongera kuziba. |
| Kuva amaraso aturutse ku gukomereka. |
| Kwandura igikomere cyangwa kwanduzanya. |
| Kwangirika kw'imitsi, gucika intege, cyangwa intege nke mu kuguru. |
| Indwara y'umutima. |
| Umusonga. |
Ni iki kibaho nyuma yo kubagwa?
Nyuma yo kubagwa, uzakenera kumara iminsi mike mu bitaro. Uzahabwa imiti igabanya amaraso kugira ngo wirinde ko amaraso acika mu gice gishya cyakozwe.
Igikuru ni uko muganga wawe ashobora kukubwira kuva mu buriri ugatangira kugendagenda gato. Ibi ni ingenzi cyane kugira ngo amaraso yawe akomeze gutembera neza no kugufasha gukira vuba. Hari n'abantu bashobora gukenera ubuvuzi bw'umubiri. Buhoro buhoro, uzashobora gusubira mu mirimo yawe isanzwe.
Wibuke ikintu kimwe cy'ingenzi. Uku kubagwa ntabwo bizakiza burundu PAD yawe. Bizagenzura gusa ibimenyetso no gukiza ukuguru kwawe. Uko igihe kigenda gihita, ibi binini bishobora kongera kuziba. Gucika intege kw'ibinini bikunze kugaragara cyane cyane ku bantu banywa itabi. Kubwibyo, gutsinda kw'iki gikorwa biterwa n'imibereho yawe.
Ni ryari ugomba guhamagara muganga wawe ako kanya?
Iyo ugiye mu rugo nyuma yo kubagwa, witondere cyane ibimenyetso bikurikira. Niba ufite kimwe muri ibi, hita umenyesha muganga wawe cyangwa ibitaro wavuriwemo.
| Ibimenyetso byo kwitondera | |
|---|---|
| Niba ukuguru kwakoreweho ikibazo kugaragaje ibimenyetso bikurikira: | |
| - Ububabare bushya cyangwa bukabije | - Amaguru akonje, yera, cyangwa y'ubururu |
| - Kubura ibinya cyangwa kumva nta cyo umeze | - Kurushaho kuba bibi kw'ibikomere by'amaguru |
| Niba hari ibindi bimenyetso bisanzwe by'ingorane: | |
| - Umuriro | - Kugira isesemi no kuruka |
| - Gutukura no gushyuha hafi y'aho haciwe | - Amazi ameze nk'ibibyimba ava mu bikomere |
Ubutumwa bwo kujyana mu rugo
- Gukoresha imitsi y'amaraso mu buryo bwa "Vascular Bypass" ni uburyo bwo kubaga bunyura mu mitsi y'amaraso yazibye, bugatuma habaho inzira nshya yo gutembera kw'amaraso.
- Intego nyamukuru y'ibi ni ukugarura amaraso mu kaguru no kuyarinda ibyago byo gucibwamo ingingo.
- Kugira ngo igikorwa cyo kubaga kigende neza kandi gikomeze kubungabungwa igihe kirekire, ni ngombwa kwirinda kunywa itabi burundu no kugenzura neza indwara nka diyabete n'umuvuduko ukabije w'amaraso.
- Ndetse na nyuma yo kubagwa, ni ingenzi cyane gukomeza kuvugana na muganga wawe no kwisuzumisha buri gihe.
- Niba ubonye ububabare bushya, ibinure, ibara rihinduka, cyangwa igikomere kirushaho kwiyongera mu kuguru kwawe, ntukirengagize kandi ubimenyeshe muganga wawe ako kanya.
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